Clinical Reviewer / Chennai / Exp 2-7.
by SCIO Inspire in Chennai
Experience: 2 to 5 yrs. Posted on: 12 Sep
Job Description
- Review medical records to determine the appropriate level of care
- Determine appropriate level of care through the application of Interqual Criteria
- Documentation of findings in a clear, concise and effective manner
- Active participation in Physician Reviewer Nurse Reviewer meetings
- Participation in provider-client calls as requested to provide subject matter expertise
- Review of appeal information to either uphold or overturn original finding
- Participation in Inter Rater Reliability quality reviews as assigned
Salary: Best In the Industry
Industry: Medical / Healthcare / Hospitals
Functional Area: ITES, BPO, KPO, LPO, Customer Service, Operations
Role Category: Other
Role: Medical Transcriptionist
Keyskills: clinical reviewerhealthcaremedical billing medical rnCGFNSnclexClinical Research clinical research associate clinical data management clinical trial
Desired Candidate Profile
Education:
UG - Any Graduate - Any Specialization
PG - Any Postgraduate - Any Specialization
Doctorate - Doctorate Not Required
PG - Any Postgraduate - Any Specialization
Doctorate - Doctorate Not Required
- Review medical records to determine the appropriate level of care
- Determine appropriate level of care through the application of Interqual Criteria
- Documentation of findings in a clear, concise and effective manner
- Active participation in Physician Reviewer Nurse Reviewer meetings
- Participation in provider-client calls as requested to provide subject matter expertise
- Review of appeal information to either uphold or overturn original finding
- Participation in Inter Rater Reliability quality reviews as assigned
Company Profile
SCIOinspire develops innovative, outcomes-based solutions focusing on high-impact cost areas affecting healthcare payers and the healthcare community. Founded in 2007 and built on decades of experience in healthcare technology and consulting, SCIOinspire offers analytics-driven, technology-enabled solutions within the Care Analytics and Data Management space as well as Actuarial and Care Management Support.
SCIOinspire solutions are powered by technology platforms to advance care management analytics - with the goal of empowering clients and supporting in-sourcing and internal process-improvement efforts. SCIOinspire is dedicated to supporting each client"s cost management agenda through flexible, innovative, collaborative approaches that include outsourcing, co-sourcing, software and business process services.
SCIOinspire solutions are powered by technology platforms to advance care management analytics - with the goal of empowering clients and supporting in-sourcing and internal process-improvement efforts. SCIOinspire is dedicated to supporting each client"s cost management agenda through flexible, innovative, collaborative approaches that include outsourcing, co-sourcing, software and business process services.
Contact Details
Recruiter Name:Payal
Contact Company:SCIO Inspire
Address: TVH Beliciaa Towers, Tower 1, 6th Floor, Block No.94, MRC Nagar, Chennai CHENNAI,Tamilnadu,India
Email Address:
Telephone:91-44-30994800
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